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U.S. Department of Health and Human Services

Class 2 Device Recall Pro Act Implantation Instrument Set

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 Class 2 Device Recall Pro Act Implantation Instrument Setsee related information
Date Initiated by FirmApril 10, 2019
Create DateApril 28, 2020
Recall Status1 Terminated 3 on May 18, 2020
Recall NumberZ-1808-2020
Recall Event ID 85486
PMA NumberP130018 
Product Classification Surgical instruments, g-u, manual (and accessories) - Product Code KOA
ProductProACT Implantation Instrument Set, is a reusable, steam sterilizable surgical instrument set consisting of a U-Channel Sheath through which the Pro ACT balloon implant is introduced.
Code Information Model 750041, Lot # UM00650
FEI Number 3003477176
Recalling Firm/
Manufacturer		 Uromedica Inc.
1840 Berkshire Ln N
Plymouth MN 55441-3723
For Additional Information ContactRobert W. McLain
763-694-9880
Manufacturer Reason
for Recall		Potential issue with the manufacture and inspection of U-channel sheaths in Implantation Instruments Sets. Affected U-channel sheaths may be more likely to cause damage to ProACT implant devices when passes through the sheaths.
FDA Determined
Cause 2		Nonconforming Material/Component
ActionUromedica sent a notification to the customers via email and letter instructing them to identify the affected sets and returned them to Uromedica within 10 business days. Uromedica will provide for the return shipping of the affected tool set and replace if free of charge.
Quantity in Commerce11 tool sets
DistributionNationwide distribution to the following states: CA, GA, FL, MI, and VA.
Total Product Life CycleTPLC Device Report
1 A record in this database is created when a firm initiates a correction or removal action. The record is updated if the FDA identifies a violation and classifies the action as a recall, and it is updated for a final time when the recall is terminated. Learn more about medical device recalls.
2 Per FDA policy, recall cause determinations are subject to modification up to the point of termination of the recall.
3 For details about termination of a recall see Code of Federal Regulations (CFR) Title 21 �7.55.
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